Abstract:
BACKGROUND:In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify pregnancies and retrospectively capture pregnancy outcomes to provide data for decision making. However, little is known about the performance of different methods in identifying pregnancy and pregnancy outcomes, yet this is critical in assessing improvements in reducing maternal and newborn mortality and stillbirths. OBJECTIVE:To explore differences between a population-based household pregnancy survey and prospective health demographic surveillance system in identifying pregnancies and their outcomes in rural eastern Uganda. METHODS:The study was done within the Iganga-Mayuge HDSS site, a member centre of the INDEPTH Network. Prospective data about pregnancies and their outcomes was collected in the routine biannual census rounds from 2006 to 2010 in the HDSS. In 2011 a cross-sectional survey using the pregnancy history survey (PHS) tool was conducted among women aged 15 to 49 years in the HDSS area. We compared differences between the HDSS biannual census updates and the PHS capture of pregnancies identified as well as neonatal and child deaths, stillbirths and abortions. FINDINGS:A total of 10,540 women aged 15 to 49 years were interviewed during the PHS. The PHS captured 12.8% more pregnancies than the HDSS in the most recent year (2010-2011), though between 2006 and 2010 (earlier periods) the PHS captured only 137 (0.8%) more pregnancies overall. The PHS also consistently identified more stillbirths (18.2%), spontaneous abortions (94.5%) and induced abortions (185.8%) than the prospective HDSS update rounds. CONCLUSIONS:Surveillance sites are designed to prospectively track population-level outcomes. However, the PHS identified more pregnancy-related outcomes than the HDSS in this study. Asking about pregnancy and its outcomes may be a useful way to improve measurement of pregnancy outcomes. Further research is needed to identify the most effective methods of improving the capture of pregnancies and their outcomes within HDSS sites, household surveys and routine health information systems.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Kadobera D,Waiswa P,Peterson S,Blencowe H,Lawn J,Kerber K,Tumwesigye NMdoi
10.1080/16549716.2017.1356641subject
Has Abstractpub_date
2017-01-01 00:00:00pages
1356641issue
1eissn
1654-9716issn
1654-9880journal_volume
10pub_type
杂志文章abstract:BACKGROUND:Hazardous alcohol use is detrimental to persons with HIV (PWH), impacting medication adherence and liver function, yet globally resources to target alcohol use behavior in this population are limited. Few studies have identified the costs of integrating alcohol reduction interventions into HIV care. OBJECTI...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1814035
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Climate change is producing major impacts including increasing temperatures in tropical countries, like Costa Rica, where the sugarcane industry employs thousands of workers who are exposed to extreme heat. OBJECTIVES:This article outlines a pilot qualitative evaluation of working conditions and heat in the...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2062
更新日期:2009-11-11 00:00:00
abstract:BACKGROUND:Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES:The objective of this study was to investigate primary healthcare work...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340253
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Infants exposed to maternal HIV infection who remain HIV-uninfected (HIV-exposed/uninfected; HIV-EU) may be at increased risk of growth retardation, which could be due both to directly HIV-related effects and to socio-economic factors overrepresented among HIV-positive women. OBJECTIVE:To investigate growth...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1296726
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1830463
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:A woman's satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been expl...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1386932
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:China has made impressive progress towards the Millennium Development Goal (MDG) for maternal and reproductive health, but ensuring that progress reaches all segments of the population remains a challenge for policy makers. The aim of this review is to map disadvantaged populations in terms of maternal healt...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19542
更新日期:2013-04-03 00:00:00
abstract:BACKGROUND:Adolescents in low and middle-income countries experience pronounced mental health needs in contexts where infrastructure and resources are scarce. While evidence-based treatment are readily available, they may not fit the unique needs of certain contexts. OBJECTIVE:This manuscript illustrates the systemati...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1775062
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Transactional sex is associated with the HIV epidemic among young people in Uganda. Few quantitative studies based on nationally representative survey data explored the relationship between sexual behaviors, HIV infection, and transactional sex. OBJECTIVE:This study aimed to determine the associations betwe...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27249
更新日期:2015-05-21 00:00:00
abstract:BACKGROUND:A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). DESIGN:A cross-sectiona...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24919
更新日期:2014-08-04 00:00:00
abstract::Background: Health insurance (HI) has been introduced to achieve universal health coverage. In Viet Nam, mandatory HI for the poor and the minorities has been strengthened since 2012. Objective: The study explored affordability and healthcare-seeking behaviour for delivery and antenatal care (ANC) among the poor and e...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1556573
更新日期:2019-01-01 00:00:00
abstract::Objective The graduates of the diploma and degree programmes of nursing and midwifery in India are considered skilled birth attendants (SBAs). This paper aimed to assess the confidence of final-year students from pre-service education programmes (diploma and bachelor's) in selected midwifery skills from the list of mi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29553
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Social and environmental changes have accompanied the ongoing rapid urbanisation in a number of countries during recent decades. Understanding of its role in the health-risk transition is important for health policy development at national and local level. Thailand is one country facing many of the health ch...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.1914
更新日期:2009-04-30 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study explores the perceptions of a wide range of stakeholders in Malawi towards the mental health impact of intimate partner violence (IPV) and the capacity of health services for addressing these. DESIGN:In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted in th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24816
更新日期:2014-09-12 00:00:00
abstract:BACKGROUND:Sexual violence against women and children in Tanzania and globally is a human rights violation and a developmental challenge. OBJECTIVE:The aim of this study was to assess the impact of training health professionals on rape management. The specific objectives were to evaluate the changes of knowledge and a...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v9.31735
更新日期:2016-07-14 00:00:00
abstract:BACKGROUND:Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. OBJECT...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1477249
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Human immunodeficiency virus (HIV) is a significant contributor to Malawi's burden of disease. Despite a number of studies describing socio-economic differences in HIV prevalence, there is a paucity of evidence on socio-economic inequity in HIV testing in Malawi. OBJECTIVE:To assess horizontal inequity (HI)...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31730
更新日期:2016-10-26 00:00:00
abstract:BACKGROUND:Individuals in conflict-affected areas rarely get appropriate care for chronic or non-infectious diseases. The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide, and new evidence shows conclusively that the negative effects of hyperglycemia occur even at mild glucose elevations and th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23887
更新日期:2014-05-12 00:00:00
abstract::Doctoral training has increasingly become the requirement for faculty in institutions of higher learning in Africa. Africa, however, still lacks sufficient capacity to conduct research, with just 1.4% of all published research authored by African researchers. Similarly, women in Sub-Saharan Africa only constitute 30% ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1670002
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The double burden of tuberculosis (TB) and diabetes mellitus (DM) is hitting certain Asian countries harder than other areas. In a global estimate, 15% of all TB cases could be attributable to DM, with 40% of those cases coming from India and China. Many other countries of South, East, and South-East Asia ar...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.1080/16549716.2016.1264702
更新日期:2017-01-01 00:00:00
abstract::Community-based research on child survival in sub-Saharan Africa has focussed on the increased provision of curative health services by a formalised cadre of lay community health workers (CHWs), but we have identified a particular configuration, that deserves closer scrutiny. We identified a two-tiered CHW system, wit...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27214
更新日期:2015-03-12 00:00:00
abstract:BACKGROUND:Amidst diverging discourses describing chronic non-communicable disease (NCD) and healthcare access, the hermeneutical tradition within sociology, particularly as exemplified in the work of Jurgen Habermas, provides a starting point for exploring and interpreting the experiences of chronic illness and health...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25317
更新日期:2014-09-24 00:00:00
abstract:BACKGROUND:Domestic violence during pregnancy has detrimental effects on the health of the mother and the newborn. Antenatal care provides a 'window of opportunity' to identify and assist victims of domestic violence during pregnancy. Little is known about the experience, needs, and expectations from the women's perspe...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31838
更新日期:2016-12-14 00:00:00
abstract:BACKGROUND:The collaborative quality improvement approach proposed by the Institute for Healthcare Improvement has the potential to improve coverage of evidence-based maternal and newborn health practices. The Safe Care, Saving Lives initiative supported the implementation of 20 evidence-based maternal and newborn care...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1581466
更新日期:2019-01-01 00:00:00
abstract::Background: mHealth applications assist workflow, help move towards equitable access to care, and facilitate care delivery. They have great potential to impact care in low-resource countries, but have significant ethical concerns pertaining to patient autonomy, safety, and justice. Objective: To achieve consensus amon...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1666695
更新日期:2019-01-01 00:00:00
abstract::Background: Evidence-based antenatal care is one cornerstone in Safe Motherhood and educated and confident midwives remain to be optimal caregivers in Africa. Confidence in antenatal midwifery skills is important and could differ depending on the provision of education among the training institutions across Africa.Obj...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1689721
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention prio...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1341597
更新日期:2017-01-01 00:00:00
abstract::Background: Language and communication lie at the heart of good quality mental health care and are a vital, yet complex, part of the diagnostic and treatment process. In South African mental health care, ad hoc interpreting arrangements are the status quo. However, these can cause both clinician and patient shame and ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1684072
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:We have recently demonstrated that an obese-years construct is a better predictor of the risk of diabetes than the severity of body weight alone. However, these risk estimates were derived from a population cohort study initiated in 1948 that might not apply to the current population. OBJECTIVE:To validate ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30421
更新日期:2016-06-30 00:00:00
abstract:BACKGROUND:Two decades after the launch of the Safe Motherhood campaign, India still accounts for at least a quarter of maternal death globally. Gujarat is one of the most economically developed states of India, but progress in the social sector has not been commensurate with economic growth. The purpose of this study ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19652
更新日期:2013-03-06 00:00:00